Healthcare Provider Details

I. General information

NPI: 1689218588
Provider Name (Legal Business Name): BEATRIZ CASELLAS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE. DOMENECH CALLE SERGIO CUEVAS BUSTAMANTE #527
SAN JUAN PR
00918
US

IV. Provider business mailing address

AVE. DOMENECH CALLE SERGIO CUEVAS BUSTAMANTE #527
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-607-6285
  • Fax:
Mailing address:
  • Phone: 787-903-2354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6335
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: